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If you're looking for an issue-age Medigap policy, you'll want to know who sells them. Many private insurance companies offer issue-age Medigap policies.
Aetna and Cigna are two well-known companies that sell issue-age Medigap policies. These companies have been in the insurance business for a long time and have a reputation for providing reliable coverage.
Some of the benefits of issue-age Medigap policies include guaranteed issue, which means you can't be turned down for coverage, and no medical underwriting, which means your premium won't be affected by your health status.
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Types of Policies and Covered Benefits
There are 10 different types of Medigap policies, each with its own standardized set of benefits. Plan G is the most popular Medigap policy, accounting for 39% of all policyholders in 2023.
Plan G covers the Part A deductible and all cost sharing for Part A and B covered services, but not the Part B deductible. Plan F, which is no longer available to new beneficiaries who turned 65 on or after January 1, 2020, covers all the same benefits as Plan G as well as the Part B deductible.
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Plan F has the second largest share of Medigap enrollment, covering 36% of Medigap policyholders or nearly 4.9 million people. Plan N has the third largest share of Medigap enrollment, covering 10% of policyholders or nearly 1.4 million people.
Plan N is similar to Plan G, except that there are Part B copayments for some office visits and some emergency room visits, and it does not cover Part B excess charges.
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Premiums and Costs
Issue-age-rated Medigap plans are a great option for those who want lower premiums, but keep in mind that they can be more expensive if you join when you're older.
Premiums for issue-age-rated plans are based on your age when you first enroll in the plan, so the younger you are, the lower your premium will be.
If you're considering an issue-age-rated plan, it's essential to factor in the potential for premium increases over time, which can be due to inflation and other factors.
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Community-rated plans, on the other hand, charge the same premiums across the board, regardless of age. This can be a more predictable option, but premiums may still increase due to inflation and other causes.
Here's a breakdown of the different rating methods:
Attained-age-rated plans base their premiums on your age when you first enroll, but unlike issue-age-rated plans, premiums increase as you get older. This can result in higher premiums over time.
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Medicare Supplement Insurance
Medicare Supplement Insurance is a type of insurance that can help fill the gaps in Original Medicare coverage. In 47 states, there are up to 10 standardized Medicare Supplement insurance plans denoted by the letters A through N, with each plan offering a different level of basic benefits.
Each lettered plan must include the same standardized basic benefits, regardless of insurance company and location, but may not cover vision, dental, long-term care, or hearing aids. Medicare Supplement insurance plans must cover at least a portion of the following basic benefits: Medicare Part A coinsurance costs up to an additional 365 days after Medicare benefits are exhausted, Medicare Part A hospice care coinsurance or copayments, Medicare Part B coinsurance or copayments, and the first three pints of blood used in a medical procedure.
Insurance companies offering Medicare Supplement insurance plans may charge different premiums, and premiums can increase over time for reasons other than age, such as inflation. Some insurance companies may offer discounts for married couples, annual payments, or multiple plan holders.
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Medicare Supplement Insurance
Medicare Supplement Insurance offers a range of standardized plans, denoted by the letters A through N, with each plan offering a different level of basic benefits. There are up to 10 standardized Medicare Supplement insurance plans available in 47 states.
The private Medicare-approved insurance companies offering these plans do not have to offer every Medicare Supplement insurance plan, but they must offer at least Plan A. Medicare Supplement Insurance Plan A covers some of the basic benefits, including Medicare Part A coinsurance costs up to an additional 365 days after Medicare benefits are exhausted, Medicare Part A hospice care coinsurance or copayments, Medicare Part B coinsurance or copayments, and the first three pints of blood used in a medical procedure.
Medicare Supplement Insurance Plan F, the most comprehensive standardized Medicare Supplement insurance plan, carries additional benefits, including Medicare Part A deductible, Medicare Part B deductible, Part B excess charges, Part B preventive care coinsurance, Skilled Nursing Facility (SNF) care coinsurance, and foreign travel emergency care (80% of Medicare-approved costs, up to plan limits).
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Medicare Supplement Insurance premium costs can vary depending on the insurance company and the rating method used. There are three main rating methods: community no-age-rated, issue-age-rated, and attained-age-rated. Community no-age-rated plans charge the same premium across the board, regardless of age.
Here are the three rating methods used by Medicare Supplement insurance companies:
Medicare Supplement Insurance premium costs can also be affected by other factors, such as discounts for married couples, annual payments, or multiple plan holders.
Medicare vs. Advantage
Medicare Advantage plans are based on coverage benefits and certain other factors, not your age, which is a big difference from Medigap plans.
You may be able to get a Medicare Advantage plan even if you have pre-existing conditions, which is not the case with all Medigap plans.
The cost of a Medigap plan can be higher if you enroll at an older age, especially with issue-age-rated plans.
Medicare Advantage plans, on the other hand, are not affected by your age when it comes to premium costs.
You'll need to consider all your costs and the benefits offered by each plan over the long term when deciding between a Medicare Advantage plan and an issue-age-rated Medigap plan.
It's also worth noting that the availability of issue-age-rated Medigap plans may vary depending on where you live.
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Age and Premiums
Medigap premiums can be affected by age, but not always. In some states, issue-age-rated plans are available, which means your premium is based on your age when you first enroll in the plan.
Issue-age-rated plans are less expensive if you sign up when you're younger. For example, if you're 65 and you buy an issue-age-rated plan, your premium will be lower than if you wait until you're 75.
The older you are when you enroll, the higher your premium will be. This is because issue-age-rated plans generally increase rates annually, but rate increases are not dependent on your age in the future.
Not every state offers issue-age-rated plans. Currently, only a few states, such as Arizona, Idaho, Georgia, and Florida, allow issue-age-rated plans.
Here's a comparison of the three rating systems:
It's worth noting that even if you choose an issue-age-rated plan, your premiums may still increase due to inflation and other factors, such as smoking status and residential area.
Choosing a Plan
If your state offers issue-age-rated plans, you're in luck because these plans are generally less expensive than attained-age plans if you sign up when you first become eligible to purchase a Medigap plan.
However, it's essential to note that issue-age-rated plans start with higher premiums than attained-age-rated plans.
In most states, insurance companies only sell Age-Attained plans, making up the vast majority of options available.
Community Rated plans, on the other hand, often offer discounted rates for younger members, but these discounts decrease as you age, causing the price to increase.
When choosing a Medigap plan, prioritize the comprehensiveness of the plan, the reputation of the insurer, and the price.
Comparing premium costs of attained-age vs. issue-age Medigap plans based on future rate increases, not just the rate when you purchase, is crucial to making an informed decision.
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Frequently Asked Questions
Who is the best Medigap provider?
According to our analysis, AARP/UnitedHealthcare is the top-rated Medigap provider overall, offering a comprehensive plan with excellent coverage and service.
Who issues Medigap plans?
Medigap plans are issued by insurance companies licensed in your state. Compare different companies' versions of the same lettered plan to find the best fit for your needs.
Sources
- https://www.kff.org/medicare/issue-brief/key-facts-about-medigap-enrollment-and-premiums-for-medicare-beneficiaries/
- https://www.ehealthinsurance.com/medicare/parts/medicare-supplement-plans/
- https://www.gohealth.com/medicare/medicare-supplement/attained-age-vs-issue-age-rates-with-medicare-supplement/
- https://www.senior65.com/medicare/article/medigap-attained-age-vs-issue-age-vs-community-rated
- https://www.healthline.com/health/medicare/attained-age-vs-issue-age-medigap
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